What Is It?
The paracentesis procedure involves several steps, typically carried out in a medical setting such as a hospital or outpatient clinic.
It’s important to note that while paracentesis is generally considered safe, it carries some risks, and patients should follow any pre-procedure instructions provided by their healthcare provider and report any unusual symptoms or concerns during or after the procedure.
Here’s an overview of what typically happens during a paracentesis:
How Is It Treated?
Anesthesia:
Local anesthesia is administered to numb the skin and deeper tissues at the site where the needle will be inserted. This helps minimize discomfort during the procedure.
Insertion of Needle or Catheter:
Using sterile technique, the healthcare provider inserts a thin needle or catheter through the skin and into the abdominal cavity. The needle is usually inserted just below the belly button.
Ultrasound guidance may be used to visualize the abdominal organs and guide the insertion of the needle, especially in cases where ascites fluid may be difficult to locate.
Fluid Removal:
Once the needle or catheter is in place, the excess fluid is slowly drained from the abdominal cavity.
The rate of fluid removal is typically controlled to prevent sudden shifts in fluid and electrolyte balance that could lead to complications such as low blood pressure or kidney problems.
The amount of fluid removed may vary depending on the patient’s condition and the extent of fluid buildup.
Monitoring:
Throughout the procedure, the patient’s vital signs are monitored closely to detect any signs of complications such as bleeding or changes in blood pressure.
The healthcare provider may also ask the patient about any discomfort or pain during the procedure.
Completion:
Once an adequate amount of fluid has been removed or if there are signs of potential complications, the procedure is stopped.
The needle or catheter is removed, and pressure may be applied to the insertion site to minimize bleeding and help with wound healing.
How Do I Prep For The Procedure?
The patient may be asked to fast for a certain period before the procedure to reduce the risk of complications.
Vital signs such as blood pressure, heart rate, and oxygen saturation may be monitored.
The patient’s abdomen is typically marked to identify the best site for needle insertion, often in the lower abdominal area away from major blood vessels.
What Happens After The Procedure?
The patient may be observed for a period after the procedure to ensure stability and monitor for any delayed complications.
The removed fluid is sent to a laboratory for analysis to help determine the underlying cause of ascites and guide further treatment.
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